Document Detail

Epidemic of caesarean sections in Brazil.
MedLine Citation:
PMID:  1677075     Owner:  NLM     Status:  MEDLINE    
Brazil has one of the highest rates of caesarean section in the world. Patterns of caesarean sections were studied in a cohort of 5960 mothers followed from 1982 to 1986 in southern Brazil. Overall, 27.9% were delivered by caesarean section in 1982, this proportion being 30% for nulliparae, 80% for second deliveries when the first was by caesarean, and over 99% for third births when the first two were by caesarean. Socioeconomic status and requests for sterilisation by tubal ligation were important underlying factors. 9.4% of the women were sterilised during a caesarean section (3.7% in the lowest income group and 20.2% in the highest). 31% of women who had had their first child by a caesarean section and who were having a second operative delivery were sterilised. The high rates of caesarean sections and accompanying sterilisations reflect the lack of appropriate reproductive and contraceptive policies in the country.
F C Barros; J P Vaughan; C G Victora; S R Huttly
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  338     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-08-16     Completed Date:  1991-08-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  167-9     Citation Subset:  AIM; IM; J    
Department of Social Medicine, Universidade Federal de Pelotas, Brazil.
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MeSH Terms
Brazil / epidemiology
Cesarean Section / utilization*
Child, Preschool
Cohort Studies
Physician's Practice Patterns / statistics & numerical data*
Risk Factors
Sterilization, Tubal / utilization
Comment In:
Lancet. 1996 Mar 23;347(9004):839   [PMID:  8622377 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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